Chris Mc Farland, D.M.D.
Marie C. Schweinebraten, D.M.D.
Dental Bridge Repair Options
Decatur - Atlanta - Duluth
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Atlanta Broken Bridge Teeth - RepairFixed bridges, whether cement or screw retained, have degrees of endurance and servicability that can be as much as 30 years or more..... or as short as a few weeks or months.. and everything in-between.
Why Bridges Fail
A bridge that provides good service, endurance and continues to "not" look like a bridge for, say 25-30 years, understandably results from good dentistry and optimal oral health care exercised by the patient.
Bridgework that endures only for a short time, say 15 years or less, brings into question all of the casual factors mentioned above.
What - How - Why Failure CharacteristicsThe dynamics of a bridge becoming unservicable will vary, change and become more complex with the age of the bridge and changing oral health conditons of any given patient. Even "chains of change" will cause a bridge to fail.
Repair or Replacement Choices
Porcelain Failure: When a single bridge tooth becomes damaged, as represented in the adjacent photo series, repair may be possible, depending upon the dentist's access to advanced technologies and, perhaps more importantly, the training and experience of the dentist.
Prosthodontists, in general terms, possess post graduate training in the design, development and fabrication of prosthetics. The more recent or more frequent exposure to special treatment issues that Prosthodontists typically are involved with plays a key role in developing a creative solution that may not be apparent to General Dentists.
All of the porcelain material that comprised the damaged cosmetic crown was carefully removed with special instruments. The bridge was not removed. The original framework was exposed and prepared for the custom restorative product.
The adjacent photo shows the use of temporary acrylic materials that enabled the patient to continue wearing the bridge without risking further damage while the final restorative porcelain was being completed at the dental lab.
As can be seen in the adjacent photo, bite testing is performed (blue bite registration deposits) to assure proper distribution of biting forces across the entire bridge and on opposing teeth.
The original damage could have been caused by a technical failure during the fabrication process or it could have been caused by unbalanced occlusion. The patient's concern, as well as Dr. McFarlands concern, is that it doesn't become repeated.
Since the exposed bridge framework fits "into" rather than "onto" the crown hybrid, the effects of lateral forces are minimized and are well controlled, which can be a common factor in some crown or bridge failures.
The patient is reminded of the usual concerns that all bridge wearers are advised of when first being treated with a fixed bridge.
All bridge patients, in general terms, need to be mindful of food preferences (some may need to be changed), biting and chewing habits, maintaining recommended oral hygiene habits, using teeth as a "tool" (biting and tearing open food packaging, for example), potential for clenching or grinding (awake or asleep) and attending to treatment needs of adjacent teeth (fillings, chipped teeth, odd orthodontic changes, etc).
Questions?Call our office at (770) 623-0930 to schedule a consult to determine if bridge repair is an option for you.
Patients with specific questions about the materials or procedures discussed on this page invited to contact us directly with our on-line Ask The Dentist form. Dr. Marie or Dr. Chris will respond directly with the answers and information you are seeking.